TG/HDL‐c ratio as a predictor of progressive infarction in patients with anterior circulation single subcortical infarction

Abstract

Abstract Background The contributors predicting progressive infarction (PI) in patients with anterior circulation single subcortical infarction (ACSSI) and pontine single infarction (PSI) may be unidentical. The role of triglyceride to high‐density lipoprotein cholesterol (TG/HDL‐c) ratio on PI is unclear. The purpose of our study is to evaluate the correlation between TG/HDL‐c ratio and PI in patients with ACSSI or PSI. Methods Between January 2020 and October 2022, we retrospectively enrolled 738 patients including 638 ACSSI patients and 100 PSI patients to analyze. Demographic characteristics, clinical information, and laboratory data were collected within 24 h of admission. Results PI occurred in 143 (19.4%) patients. In univariate analysis, patients with PI had higher initial National Institutes of Health Stroke Scale (NIHSS) scores, higher discharge NIHSS scores, higher levels of fasting glucose, total cholesterol, TG, low‐density lipoprotein cholesterol, and TG/HDL‐c ratio, but lower levels of creatinine compared to patients with non‐PI (p < .05). Furthermore, the results of the subgroup analyses revealed the independent association between TG/HDL‐c ratio and PI in ACSSI patients (OR 1.079, 95% CI 1.009–1.153, p = .026) rather than in PSI patients. Additionally, a receiver operating characteristic curve indicated that the optimal predictive cutoff value of the TG/HDL‐c ratio was 3.985, and a TG/HDL‐c ratio ≥3.985 was more likely to experience PI in ACSSI patients. Conclusion In conclusion, the TG/HDL‐c ratio was independently associated with PI in patients with ACSSI.

Keywords

• anterior circulation single subcortical infarction
• early neurological deterioration
• insulin resistance
• pontine single infarction
• progressive infarction
• triglyceride to high‐density lipoprotein cholesterol ratio